Healthcare Consultant I Job at SGS Consulting, Florida

RWlueGNrbHZsYk1EelkwY0ZoZXMyWTA9
  • SGS Consulting
  • Florida

Job Description

Job Responsibilities:

  • Develop a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Case Management Coordinator will determine appropriate services and support due to members’ health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
  • Helps members actively and knowledgeably participate with their provider in healthcare decision-making
  • Monitoring, Evaluation and Documentation of Care:
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Skills:

  • Case management experience required, long term care experience preferred
  • Microsoft Office including Excel competence
  • Bilingual Spanish/English Required

Education/Experience:

  • Bachelor's degree required
  • No nurses
  • Social work degree or related field.

Job Tags

Temporary work, Work at office,

Similar Jobs

Language Trainers

Portuguese Language teacher- ID: 1057568 Job at Language Trainers

 ...Founded in 2004, the companys motto is Any Language, Anytime, Anywhere! Reference number:1057568 We might have a job for you as a Portuguese teacher. One of our clients in Philadelphia would like to have one-to-one GENERAL Portuguese classes. This student wishes... 

A Small World Pediatric Dentistry

Dental treatment coordinator Job at A Small World Pediatric Dentistry

 ...Job Description - Dental Treatment Coordinator A Small World Pediatric Dentistry, a vibrant and community-focused pediatric dental practice...  ...treatment, including the presentation of dental treatment plans, insurance claim handling, and patient communication regarding... 

Compass Group

ACCOUNTING ASSISTANT (FULL TIME) Job at Compass Group

 ...We are hiring immediately for a full time ACCOUNTING ASSISTANT position. Location : Parks Dallas Xtract - 1421 MacArthur Drive, Carrollton...  ...Canteen are offered many fantastic benefits. Full-time and part-time positions offer the followingbenefits to associates :... 

Rolling Suds East Bay

Commercial Door-to-Door Sales Executive - Power Washing Job at Rolling Suds East Bay

 ...travel between properties only. Commute to/from work not reimbursed. Requirements Must Have: Reliable vehicle (low mileage daily routine: 10-30 miles/day) Sales...  ...pressure for underperformers. Flexible work from home options available. #J-18808-Ljbffr

Accordance Search Group

Clinical Education Specialist Job at Accordance Search Group

 ...Clinical Education Specialist Remote (Travel Required) Full Time | Sales | Remote Salary Range: $80,000 $100,000 annually Position Summary The Clinical Education Specialist serves as a clinical expert across multiple healthcare domains, including...